[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-108-2-產兒科護理學-063","nurse-108-2-maternal-pediatric-063",108,2,63,"有關新生兒壞死性腸炎之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"因週產期窒息腸道缺氧，引起壞死及細菌侵犯腸黏膜","常侵犯部位為乙狀結腸及直腸壺腹處","哺餵母乳為最佳的預防方法，母乳內之 IgA 能抑制或殺死細菌","體溫測量時宜避免測量肛溫，以免傷害腸黏膜","B",null,[],"本題考點為新生兒壞死性腸炎（NEC）的病因、好發部位與照護。依 NEC 病生理，週產期窒息或缺氧使腸道血流再分配、黏膜缺血受損，細菌趁虛侵入產生壞死，故 A 正確；母乳含 sIgA 及生長因子可保護腸黏膜、為最佳預防，C 正確；為避免刺傷已脆弱的腸黏膜，應避免測量肛溫，D 正確。錯在 B：NEC 最常侵犯的是迴腸末端與近端結腸，並非乙狀結腸及直腸壺腹處，好發部位描述錯誤，故選 B。","NEC 三大危險因子：早產（腸道免疫與蠕動不成熟）、腸道缺血、不當配方奶餵食。典型三徵：腹脹、血便、餵食殘留增加，腹部 X 光見腸壁積氣（pneumatosis intestinalis）為特徵。好發部位可用「末端迴腸＋右結腸血流末梢區」記憶，屬分水嶺（watershed）易缺血區。照護：懷疑時禁食（NPO）、鼻胃管減壓、母乳優於配方。對比：乙狀結腸／直腸壺腹是巨結腸症（Hirschsprung）與便秘相關部位，勿混淆。",[24,27,30,32],{"term":25,"count":26},"腸壁積氣",3,{"term":28,"count":29},"壞死性腸炎 NEC",1,{"term":31,"count":29},"迴腸末端",{"term":33,"count":29},"母乳 sIgA",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-108-2-maternal-pediatric-064","凱凱，足月產，體重 3050 公克，出生後 24 小時抽血呈現血清膽紅素值為 27 mg\u002FdL，欲執行換血治療，下列相關描述，何者正確？",64,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-109-1-maternal-pediatric-080","有關腦性麻痺（cerebral palsy）的敘述，下列何者正確？",80,109,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-110-1-maternal-pediatric-014","有關脊髓阻斷（Spinal Block）之敘述，下列何者正確？",14,110,{"webId":50,"stem":51,"number":52,"year":53,"session":29},"nurse-111-1-maternal-pediatric-052","有關病童約束的原則，下列何者錯誤？",52,111,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-112-2-maternal-pediatric-016","有關初產婦與經產婦於分娩過程的常見變化，下列敘述何者正確？",16,112,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-113-2-maternal-pediatric-030","張小妹，1 歲，因發燒入院，護理師欲進行生命徵象測量，有關生命徵象測量相關護理，下列何者最適切？",30,113,"2026-09-04",1788510707348]